Healthcare Provider Details

I. General information

NPI: 1700976685
Provider Name (Legal Business Name): HEBREW HOME/HIRSH HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 E JEFFERSON ST
ROCKVILLE MD
20852-4045
US

IV. Provider business mailing address

1801 E JEFFERSON ST
ROCKVILLE MD
20852-4045
US

V. Phone/Fax

Practice location:
  • Phone: 301-816-5025
  • Fax: 301-816-5024
Mailing address:
  • Phone: 301-816-5025
  • Fax: 301-816-5024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberD0061934
License Number StateMD

VIII. Authorized Official

Name: MISS ZEBA SHAHEEN GELOO
Title or Position: STAFF PHYSICIAN
Credential: MD
Phone: 301-816-5025